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肌肉骨骼超声检查联合肌电图在按摩所致足底外侧神经损伤诊断中的应用：一例报告

Musculoskeletal ultrasonography combined with electromyography in the diagnosis of massage-inducted lateral plantar nerve injury: A case report.

作者信息

Jiang Zhende, Zhang Hanyang, Yu Tong, Du Yanhui, Qian Zhihui, Chang Fei

机构信息

Key Laboratory of Bionic Engineering, Jilin University.

Orthopaedic Medical Center, The Second Hospital of Jilin University, Changchun, Jilin Province, China.

出版信息

Medicine (Baltimore). 2020 Jul 10;99(28):e21130. doi: 10.1097/MD.0000000000021130.

DOI:10.1097/MD.0000000000021130
PMID:32664141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7360226/
Abstract

INTRODUCTION

It is well known that foot massage is a very prevalent stress relief method in China. Literatures have reported various massage-inducted peripheral nerve injuries. However, massage-inducted lateral plantar nerve (LPN) injury is very rare. Here, we represent an unusual case of massage-inducted LPN damage, and we also report the diagnostic method of this patient using musculoskeletal ultrasonography combined with electromyography (EMG).

PATIENT CONCERNS

A 21-year-old woman presented symptoms of redness, swelling, pain and numbness in the medial right ankle joint for 2 days.

DIAGNOSIS

The results of musculoskeletal ultrasonography and EMG provide great help for doctors to make accurate diagnosis. The patient was eventually diagnosed with LPN injury.

INTERVENTIONS

No further foot massage was allowed. Vitamin B12 was taken orally for 2 months. Conservative therapy, including electrical stimulation therapy and infrared therapy, was conducted. Besides, active rehabilitation training was also performed.

OUTCOMES

The discomfort symptoms were relieved significantly after 2 months conservative treatment. Clinical symptoms and EMG examination illustrated satisfactory result during follow up time.

CONCLUSION

The report showed that the masseur should be very careful when doing foot massage to prevent nerve damage. Besides, musculoskeletal ultrasonography combined with EMG can provide important evidence for accurate and effective diagnosis of LPN injury.

摘要

引言

众所周知，足部按摩在中国是一种非常流行的减压方法。文献报道了各种按摩引起的周围神经损伤。然而，按摩引起的足底外侧神经（LPN）损伤非常罕见。在此，我们报告一例不寻常的按摩引起的LPN损伤病例，并介绍该患者使用肌肉骨骼超声结合肌电图（EMG）的诊断方法。

患者情况

一名21岁女性，右踝关节内侧出现红肿、疼痛和麻木症状2天。

诊断

肌肉骨骼超声和肌电图结果为医生做出准确诊断提供了很大帮助。该患者最终被诊断为LPN损伤。

干预措施

禁止进一步进行足部按摩。口服维生素B12两个月。进行了包括电刺激疗法和红外线疗法在内的保守治疗。此外，还进行了积极的康复训练。

结果

经过2个月的保守治疗，不适症状明显缓解。随访期间临床症状和肌电图检查结果令人满意。

结论

该报告表明，按摩师在进行足部按摩时应非常小心，以防止神经损伤。此外，肌肉骨骼超声结合肌电图可为准确有效诊断LPN损伤提供重要证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bd3/7360226/7aeea11c7709/medi-99-e21130-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bd3/7360226/e2666c7c57a1/medi-99-e21130-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bd3/7360226/7aeea11c7709/medi-99-e21130-g008.jpg
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本文引用的文献

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